| NPI | 1760756928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007489) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003110) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2013-11-12 |