| NPI | 1952942088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC20416) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2025-09-08 |