| NPI | 1649480799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR P1103019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC001082) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-04-07 |