| NPI | 1568078947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012415) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC007443) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2025-03-31 |