| NPI | 1841545340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006799) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA 006799) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2023-02-07 |