| NPI | 1780924449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10805) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2025-02-05 |