| NPI | 1346982527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC014485) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: APC007679) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-07-26 |