| 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 |