| NPI | 1538493515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC002358) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2012-07-16 |