| NPI | 1326317850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC008639) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC002993) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2022-07-21 |