| NPI | 1053899757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA APC0005348) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC-0005348) |
| 101YS0200X Counselor School (Licence: GA 793694) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |