| NPI | 1952651879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 005004) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |