| NPI | 1801094248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA CSW 005456) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA MSW003896) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2021-06-29 |