| NPI | 1538385521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC015729) |
| 101YP2500X Counselor, Professional (Licence: TX 98850) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-06-27 |