| NPI | 1487813861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC002075) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC 002075) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |