| NPI | 1467475194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17207) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-12-20 |