| NPI | 1568612612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005279) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8573) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2019-05-24 |