| NPI | 1508150079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC007610) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002762) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-02-04 |