| NPI | 1518108752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003763) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006328) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2014-01-31 |