| NPI | 1306112818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008080) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC003171) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2016-03-16 |