| NPI | 1679059919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007529) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-02-20 |