| NPI | 1386966018 |
|---|---|
| Former Name | DORLENE ELLLEN WALEHWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2009032852) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2018-03-17 |