| NPI | 1437588837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC013366) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701013442) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-10-03 |