| NPI | 1851078810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010891) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |