| NPI | 1275118721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011644) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC011644) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-03-24 |