| NPI | 1316433774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011970) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA apc005224) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2021-05-24 |