| NPI | 1093046385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005763) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC359) |
| 101YP2500X Counselor, Professional (Licence: SC TLC2145) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2026-08-25 |