| NPI | 1396330536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012156) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC006515) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-06-06 |