| NPI | 1962715490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006334) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002337) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-07-27 |