| NPI | 1740684802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0013754) |
| Enumeration Date | 2014-10-18 |
| Last Update Date | 2024-01-16 |