| NPI | 1255582847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008633) |
| 101YS0200X Counselor, School (Licence: GA 727875) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2013-09-23 |