| NPI | 1578768008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC001557) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0106761) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2009-10-21 |