| NPI | 1811084155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC002407) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 002407) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-05-20 |