| NPI | 1467898171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC007701) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC007701) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2025-08-11 |