| NPI | 1174736789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 00003293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004096) |
| 101YP2500X Counselor, Professional (Licence: AL 1508) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-08-29 |