| NPI | 1861001117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA LPC010997) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-05-03 |