| NPI | 1831785310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012872) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-03-17 |