| NPI | 1811398886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9780) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2025-01-21 |