| NPI | 1518482108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17842) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015399) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-09-11 |