| NPI | 1710682695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013650) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-06 |