| NPI | 1457133746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014306) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA LPC014306) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2026-03-24 |