| NPI | 1376086512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003804-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008679) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |