| NPI | 1003917535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 675) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002368) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-04-01 |