| NPI | 1508301458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW003751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA CSW003751) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |