| NPI | 1043076524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007499) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 749857) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |