| NPI | 1225430267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009742) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004529) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2020-04-09 |