| NPI | 1104120559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006671) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: GA APC002419) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2018-12-06 |