| NPI | 1952567836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 5228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC # 4213) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-10-06 |