| NPI | 1154700334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC009692) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LPC009692) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2025-01-29 |