| NPI | 1689922296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007168) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2043) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-04-26 |