| NPI | 1811657455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013370) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC3206) |
| 101YP2500X Counselor, Professional (Licence: LA 7806) | |
| 101YP2500X Counselor, Professional (Licence: SC 8865) | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2023-06-29 |