| NPI | 1700563707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA LPC014011) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-04-11 |