| NPI | 1215445705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007342) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-05-15 |