| NPI | 1093887556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008167) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 4772) |
| 101YP2500X Counselor, Professional (Licence: SC 4772) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-06-17 |