| NPI | 1003844275 |
|---|---|
| Former Name | PATRICIA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 003066LPCGA) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 003066) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-03-06 |