| NPI | 1780074526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: GA 666521) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008967) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2017-07-04 |