| NPI | 1326508771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012991) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006851) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-20 |