| NPI | 1487151437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006879) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006879) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |