| NPI | 1780365957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA MFT002167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8264) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-05-20 |