| NPI | 1780977041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc007857) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002743) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2022-09-30 |