| NPI | 1528478864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007638) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC007638) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2024-06-04 |