| NPI | 1376161224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC009134) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009134) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-11-18 |