| NPI | 1053778977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA MFT001375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008590) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2022-05-23 |