| NPI | 1730796608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011677) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 19482) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2025-03-10 |