| NPI | 1881068211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC009302) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC005156) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2020-05-28 |