| NPI | 1689242745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008522) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 391660) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |