| NPI | 1508822883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC0205) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC010232) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-10-13 |