| NPI | 1679015580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010684) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010684) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-08-13 |