| NPI | 1720441694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005462) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL LPC005462) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |