| NPI | 1811490915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22474) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC017119) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2026-08-23 |