| NPI | 1730466780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC002988) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2014-02-11 |