| NPI | 1447870167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010158) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 681550) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |