| NPI | 1952876583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC010363) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC200001268) |
| 101YP2500X Counselor Professional (Licence: PA PC013603) | |
| 101YP2500X Counselor Professional (Licence: TX 90442) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-09-11 |