| NPI | 1316685787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC015340) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: GA APC008849) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-12-12 |