| NPI | 1851562508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005258) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LAPC1057) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2013-02-26 |