| NPI | 1972160323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC006827) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC006827) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-10-05 |