| NPI | 1437494986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007343) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-08-19 |