| NPI | 1457545410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6265) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2025-09-15 |