| NPI | 1942720651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006351) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-06-19 |