| NPI | 1578691150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001292) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-05-19 |