| NPI | 1609413004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012323) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006431) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-07-22 |