| NPI | 1376062539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18174) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2024-02-07 |