| NPI | 1629507587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN093586) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-08-31 |