| NPI | 1124269865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC 005535) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2025-03-05 |