| NPI | 1477910164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 291091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC010884) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-03-29 |