| NPI | 1063383156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11434) |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-12-02 |