| NPI | 1558746941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA APC008147) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-01-05 |