| NPI | 1104078666 |
|---|---|
| Former Name | GLORIA DAUGHTERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005336) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC005336) |
| 101YM0800X Counselor Mental Health (Licence: GA LPC005336) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2012-08-07 |