| NPI | 1558024760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC008088) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-10-17 |