| NPI | 1346835287 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012075) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006664) | 
| Enumeration Date | 2021-03-03 | 
| Last Update Date | 2023-12-12 |