| NPI | 1831960103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC016087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC00921) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-12-10 |