| NPI | 1588204408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014674) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 260499) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-06-04 |