| NPI | 1467870501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009255) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0016126) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-06-27 |