| NPI | 1144555186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3566) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2019-11-05 |