| NPI | 1962436295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC9895) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003265) |
| 225C00000X Rehabilitation Counselor (Licence: GA C-036617) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-04-11 |