| NPI | 1568914604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004442) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC0011040) |
| 101YP2500X Counselor, Professional (Licence: VA 0701005764) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-01-13 |