| NPI | 1639939705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014566) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014566) | 
| 101YP1600X Counselor, Pastoral (Licence: GA LPC014566) | |
| Enumeration Date | 2024-03-19 | 
| Last Update Date | 2024-09-26 |