| NPI | 1609488667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013351) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007199) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-03-29 |