| NPI | 1467999854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005345) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-01-03 |