| NPI | 1376942862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003943) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2018-09-14 |