| NPI | 1396820387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003878) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC003878) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC003878) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-08-22 |