| NPI | 1154656023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006241) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC001781) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-03-26 |