| NPI | 1174686661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC005709) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001276) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-07-09 |