| NPI | 1508919473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC001525) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW000542) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |