| NPI | 1003364100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010549) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC005072) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2018-10-16 |