| NPI | 1689326688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014639) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 008337) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-05-07 |