| NPI | 1467826685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11039527-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008224) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2019-05-15 |