| NPI | 1538855143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014723) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC014723) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-05-22 |