| NPI | 1114327772 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC004180) | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1071653) | 
| Enumeration Date | 2014-09-01 | 
| Last Update Date | 2014-09-01 |