| NPI | 1730248188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006089) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB31847) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-05-21 |