| NPI | 1962671131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005425) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001712) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2024-05-29 |