| NPI | 1699242875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007156) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: GA 00111629) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |