| NPI | 1407608532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC014909) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC009010) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-07-17 |