| NPI | 1598939035 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005404) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001528) | 
| Enumeration Date | 2008-04-16 | 
| Last Update Date | 2025-01-03 |