| NPI | 1407637473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014351) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007506) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-01-23 |