| NPI | 1205502630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC008097) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-03-17 |