| NPI | 1881925659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 003429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003429) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2018-03-22 |