| NPI | 1225233265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC CEAP0038067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CRC00050106) |
| 101YP2500X Counselor, Professional (Licence: GA LPC004286) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-09 |