| NPI | 1598382897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC01499) |
| 101YP2500X Counselor, Professional (Licence: FL TPMC474) | |
| 101YP2500X Counselor, Professional (Licence: SC TLC1512PC) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-12-12 |