| NPI | 1073953253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008626) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC PC8041) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-07-03 |