| NPI | 1124398789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006899) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002359) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-02-10 |