| NPI | 1003105321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2920) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014416) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-12-03 |