| NPI | 1295321172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009250) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-01-16 |