| NPI | 1447221601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 0924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC004350) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-01-24 |