| NPI | 1720367592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC001788) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002529) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2024-02-26 |