| NPI | 1568985620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 10449) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2026-08-05 |