| NPI | 1003396623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC015606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN102766) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2025-07-04 |