| NPI | 1134578065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3891) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-03-07 |