| NPI | 1356691299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC00693) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006913) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |