| NPI | 1669638318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 005083) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-11-14 |