| NPI | 1851483945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009597) |
| 101YP2500X Counselor, Professional (Licence: KY 0308) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC009597) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-07-09 |