| NPI | 1346698594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005374) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC012573) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001578) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-02-14 |