| NPI | 1700218179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 004820) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2019-12-12 |