| NPI | 1609312206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009899) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004739) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2021-05-06 |