| NPI | 1720365620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 006186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 006186) |
| 101YP2500X Counselor, Professional (Licence: GA 00186) | |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2021-08-30 |