| NPI | 1518619311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007047) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2023-05-01 |