| NPI | 1013380567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC004702) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 00117334) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |