| NPI | 1578904785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15464) |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-05-13 |