| NPI | 1740641968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004821) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-12-08 |