| NPI | 1750943189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5737) |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2019-07-06 |