| NPI | 1386198828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008620) |
| 101Y00000X Counselor (Licence: GA LPC008620) | |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2026-03-17 |