| NPI | 1437402666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC007010) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO LPC002423) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2016-04-25 |