| NPI | 1194292383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0016755) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2023-10-05 |