| NPI | 1952641730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC003659) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-06-26 |