| NPI | 1811216260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3901) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC005128) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |