| NPI | 1356602734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006665) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA lpc00665) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2021-02-15 |