| NPI | 1861152969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014995) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC008617) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2024-11-14 |