| NPI | 1649783002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010633) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005885) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2020-01-17 |