| NPI | 1700158136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007273) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC003038) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-01-22 |