| NPI | 1972864890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007478) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002837) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-03-09 |