| NPI | 1700939691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPC 1922) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-09-06 |