| NPI | 1093013005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009959) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11369) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2026-07-26 |