| NPI | 1023644754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 011336) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2024-12-18 |