| NPI | 1831516624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010666) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004258) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2020-04-22 |