| NPI | 1962991513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC012800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC012800) |
| 101Y00000X Counselor (Licence: FL MH13235) | |
| 101Y00000X Counselor (Licence: AL 3676) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-09-30 |