| NPI | 1548570252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007561) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002709) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2014-07-22 |