| NPI | 1518202167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 008655) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 007062) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-05-07 |