| NPI | 1932374584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004810) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 004810) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-02-03 |