| NPI | 1962095307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C11058) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2026-02-08 |