| NPI | 1043720774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPC15317) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-03-03 |