| NPI | 1053012138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013876) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007401) |
| 101YP2500X Counselor, Professional (Licence: LPC013876) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-05-18 |