| NPI | 1669986642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011973) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006084) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-01-31 |