| NPI | 1477854040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 000300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 15664) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2020-04-26 |