| NPI | 1366149866 |
|---|---|
| Former Name | MALINDA INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC016520) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2026-03-11 |