| NPI | 1669124343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05448) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC008018) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2025-10-01 |