| NPI | 1104415975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007312) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-07-18 |