| NPI | 1497099428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003576) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-01-07 |