| NPI | 1669793782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009531) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6438) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-06-10 |