| NPI | 1578739330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC00432) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2019-12-05 |