| NPI | 1134452485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003064) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 430877) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |