| NPI | 1700145323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002985) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2016-09-25 |