| NPI | 1821365404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-5984) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2024-02-13 |