| NPI | 1386912905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN065556) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2014-09-24 |