| NPI | 1043705262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008858) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-06-16 |