| NPI | 1649672510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007894) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 722111) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-10-08 |