| NPI | 1366587453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006191) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00293800) | |
| 103TC1900X Psychologist, Counseling (Licence: GA LPC006191) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-08-06 |