| NPI | 1760859979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC005033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 209382) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |