| NPI | 1881090199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004649) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2018-01-04 |