| NPI | 1023849783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014981) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 776632) |
| 101Y00000X Counselor (Licence: GA LPC014981) | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |