| NPI | 1851530786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006178) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC001877) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2010-10-12 |