| NPI | 1942647409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006226) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: GA G0140004) |
| 163WC0400X Registered Nurse Case Management (Licence: GA RN219659) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |