| NPI | 1235680265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL AL2921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008350) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |