| NPI | 1831648468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009315) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC003459) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-10-15 |