| NPI | 1376840272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20490) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006064) |
| Enumeration Date | 2011-02-12 |
| Last Update Date | 2023-04-06 |