| NPI | 1730433723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC013944) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2024-01-05 |