| NPI | 1407312796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013662) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006808) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-04-10 |