| NPI | 1013456763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011534) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL LPC04855) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-02-17 |