| NPI | 1922153253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005560) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001451) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-06-19 |