| NPI | 1902112055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC002789) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-06-30 |