| NPI | 1245508993 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006599) | 
| Enumeration Date | 2011-12-08 | 
| Last Update Date | 2017-07-26 |