| NPI | 1467831677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004592) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2019-04-29 |