| NPI | 1396137196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008337) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006054) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-08-27 |