| NPI | 1306203179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN309891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008454) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2022-06-10 |