| NPI | 1447404686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN053573) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |