| NPI | 1972959914 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015484) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2016-05-09 | 
| Last Update Date | 2025-07-30 |