| NPI | 1164187043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015505) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007965) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2025-02-12 |