| NPI | 1568051761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 010769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC691) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2025-11-17 |