| NPI | 1255620332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007711) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002881) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2025-07-21 |