| NPI | 1366649949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 4599) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC012005) |
| 101YP2500X Counselor Professional (Licence: NC 14845) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-05-30 |