| NPI | 1912271529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7921) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |