| NPI | 1932494747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15059) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-05-19 |