| NPI | 1346648847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC011066) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL LMHC20619) |
| 101YM0800X Counselor Mental Health (Licence: FL IMH10250) | |
| 101YP2500X Counselor Professional (Licence: FL MH20619) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2023-05-02 |