| NPI | 1306220850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004337) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-04-20 |