| NPI | 1710335385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC009740) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC005155) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-09-20 |