| NPI | 1912483744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012376) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC006346) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-08-01 |