| NPI | 1063814713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009830) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004560) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2018-11-01 |