| NPI | 1881948792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC007061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15252) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2020-02-19 |