| NPI | 1023334984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005306) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC005306) |
| 102L00000X Psychoanalyst (Licence: GA LPC005306) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2013-04-01 |