| NPI | 1225163884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC0004549) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA NCC223805) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC 004549) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-03-06 |