| NPI | 1194018069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC SC5583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006327) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-07-31 |