| NPI | 1669256152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015631) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2023-08-24 | 
| Last Update Date | 2025-05-12 |