| NPI | 1619460425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC010221) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC010221) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2022-10-24 |