| NPI | 1245663814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8933) |
| 101Y00000X Counselor (Licence: GA LPC012998) | |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2023-10-16 |