| NPI | 1679609341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004633) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2510) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-06-04 |