| NPI | 1609249598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004422) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2016-03-09 |