| NPI | 1093061236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006763) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3081) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2014-01-27 |