| NPI | 1477024933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC013943) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 8063) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2024-07-17 |