| NPI | 1184279002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10572) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015521) |
| 101YP2500X Counselor, Professional (Licence: SC LPC9824PC) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2026-03-24 |