| NPI | 1003366220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009153) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN091190) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2024-01-24 |