| NPI | 1124356738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005789) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC7392) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2025-05-29 |