| NPI | 1265035588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011866) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1364266) |
| 101YS0200X Counselor, School (Licence: AL AXR-0108-7808) | |
| 101YP2500X Counselor, Professional (Licence: AL 3945) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |