| NPI | 1811530181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2025-09-09 |