| NPI | 1295093623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC003402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008285) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-05-06 |