| NPI | 1194241620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC012884) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-08-25 |