| NPI | 1518453901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC013274) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC006850) |
| 101YS0200X Counselor School | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-12-05 |