| NPI | 1518613546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6688) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |