| NPI | 1952075558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014733) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013576) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2026-06-08 |