| NPI | 1790357515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008007) |
| 101YP2500X Counselor, Professional (Licence: GA APC008007) | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-11-08 |