| NPI | 1225390032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC 006908) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002586) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2015-07-30 |