| NPI | 1912799909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC015699) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1364664) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |