| NPI | 1396347803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC011770) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-03-20 |