| NPI | 1588707640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005665) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-02-09 |