| NPI | 1134627078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012027) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPC.7913) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-08-03 |