| NPI | 1386963957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC06967) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002408) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2022-12-06 |