| NPI | 1033548433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC004080) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006580) |
| 101YP2500X Counselor, Professional (Licence: GA LPC009429) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2022-04-01 |