| NPI | 1134457930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006983) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1930) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2013-08-09 |