| NPI | 1962473322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004819) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC000933) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-05-26 |