| NPI | 1174141436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006254) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-11-16 |