| NPI | 1801203997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013623) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14224) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-04-30 |