| NPI | 1144628058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC0006813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 6813) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2020-09-23 |