| NPI | 1396082210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007142) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 856390) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2021-08-20 |