| NPI | 1740503903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC004958) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC004958) |
| 101YS0200X Counselor School (Licence: GA 681838) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2014-12-06 |