| NPI | 1194037556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 6231195-6009) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC005034) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-01-15 |