| NPI | 1548549892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003068) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-02-17 |