| NPI | 1437876612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013757) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 007530) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-06-26 |