| NPI | 1891015301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9558) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005045) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2013-11-24 |