| NPI | 1548564388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006616) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC006616) |
| 101YP1600X Counselor Pastoral (Licence: GA LPC006616) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2013-05-29 |