| NPI | 1083002620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 007771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 231778) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |