| NPI | 1386212579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC007913) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-08-06 |