| NPI | 1902130586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC004941) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004941) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2016-04-21 |