| NPI | 1851877369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC011375) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC006196) |
| 101YP2500X Counselor Professional (Licence: GA APC006196) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-12-21 |