| NPI | 1346835287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012075) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006664) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-12-12 |