| NPI | 1023552494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005603) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-10-07 |