| NPI | 1831220698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005541) |
| 101YP2500X Counselor, Professional (Licence: GA APC001506) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-05-04 |