| NPI | 1871904177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 2431) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC006942) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |