| NPI | 1427302264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006843) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2987) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |