| NPI | 1609246669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 010100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004818) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2021-01-10 |