| NPI | 1861652489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2631) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007672) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2014-10-09 |