| NPI | 1124714753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015381) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-09-03 |