| NPI | 1780332775 |
|---|---|
| Former Name | GEORGIA DEE CRAGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 1800002805) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 1800002805) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |