| NPI | 1225450448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009247) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2018-01-20 |