| NPI | 1588877914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 11015563) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006387) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-02-20 |