| NPI | 1629337639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010840) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2021-01-29 |