| NPI | 1447877709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13556) |
| 101YP2500X Counselor, Professional (Licence: GA LPC007546) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-01-21 |