| NPI | 1124508452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005453) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-09-29 |