| NPI | 1306109665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007645) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002807) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2014-02-11 |