| NPI | 1245688241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 012819) |
| 101YP2500X Counselor, Professional (Licence: SC 7371) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-10-30 |