| NPI | 1881350551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0012685) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |