| NPI | 1861426967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 1082) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC000329) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |