| NPI | 1508017203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007359) |
| 101YP2500X Counselor, Professional (Licence: GA LPC015156) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2026-05-01 |