| NPI | 1235145939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013493) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004433) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-06-11 |