| NPI | 1881846913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005403) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6655) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-01-11 |