| NPI | 1851868616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC015186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 005547) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2025-01-27 |