| NPI | 1013175025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL LPC2234) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |