| NPI | 1609265180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC002972) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2017-05-19 |