| NPI | 1447717277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010806) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 010806) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-01-05 |