| NPI | 1639500317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC 004159) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2017-06-08 |