| NPI | 1023299963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC005135) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 001300) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2022-12-07 |