| NPI | 1649332644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003962) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-12-09 |