| NPI | 1831647932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LAPC004383) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-12-16 |