| NPI | 1326562729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC009716) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: GA LPC009716) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |