| NPI | 1205253630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008933) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC004295) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2016-08-25 |