| NPI | 1811937063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC004201) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: GA 697269.) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |