| NPI | 1699157974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701016587) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC017017) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2026-08-21 |