| NPI | 1538296348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10991) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC001563) |
| 101YP2500X Counselor, Professional (Licence: GA 005820) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-12-05 |