| NPI | 1952851354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010451) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MFT001671) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-08-31 |