| NPI | 1841521937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010668) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7506) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2021-09-16 |