| NPI | 1770875379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13664) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006399) |
| Enumeration Date | 2011-05-14 |
| Last Update Date | 2019-09-09 |