| NPI | 1659049443 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 012832) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YP2500X Counselor, Professional (Licence: GA APC007239) | |
| Enumeration Date | 2021-09-06 | 
| Last Update Date | 2022-04-21 |