| NPI | 1538298724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2012013272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC005058) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-07-31 |