| NPI | 1619596012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015198) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC007155) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-11-03 |