NPI | 1629080817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004436) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 359960) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2008-09-17 |