| NPI | 1215572912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006694) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-10-18 |