| NPI | 1629342043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA apc002830) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2021-06-23 |