| NPI | 1477727758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA APC001908) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC006256) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2015-02-27 |