| NPI | 1972298594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013759) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007545) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-05-11 |