| NPI | 1821585969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC012467) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC006332) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2023-05-23 |