| NPI | 1780210286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013480) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 12124) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2026-07-22 |