| NPI | 1669612644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004915) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2024-02-07 |