| NPI | 1902526668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC013203) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC007361) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-08-10 |