| NPI | 1619014099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN043959) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002573) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-05-04 |