| NPI | 1497891212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8520) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-02-14 |