| NPI | 1043450703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5005-125) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2025-02-10 |