| NPI | 1528306990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC010782) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00465000) |
| 101YM0800X Counselor Mental Health (Licence: NC 12953) | |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2024-02-12 |