| NPI | 1972043545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012049) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75256) |
| 101YM0800X Counselor Mental Health (Licence: GA LPC012049) | |
| 101YM0800X Counselor Mental Health (Licence: TX 75256) | |
| 101YP2500X Counselor Professional (Licence: TX 75256) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-10-24 |