| NPI | 1508242850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008378) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 008378) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2018-04-18 |