| NPI | 1407400401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006079) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-01-02 |