| NPI | 1851770978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004353) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2017-03-14 |