| NPI | 1457062630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013445) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007352) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-01-09 |