| NPI | 1548750961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 21517) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005678) |
| 101YP2500X Counselor, Professional (Licence: NC A13891) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-06-11 |