| NPI | 1548731193 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011114) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005730) | 
| Enumeration Date | 2018-12-07 | 
| Last Update Date | 2025-09-28 |