| NPI | 1073126520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC012962) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006755) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-09-08 |