| NPI | 1962103275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014089) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA APC008472) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-08-17 |