| NPI | 1386027431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006680) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC006680) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |