| NPI | 1801257563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC18172) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005639) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-08-07 |