| NPI | 1467952127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 5022) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC010054) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-08-31 |