| NPI | 1194199885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC 005500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011065) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2019-09-06 |