| NPI | 1902813124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3595-125) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-03-26 |