| NPI | 1336641547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC014381) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC009158) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2024-01-10 |