| NPI | 1639446768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006592) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2024-02-13 |