| NPI | 1932243292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LAPC1190) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-02-08 |