| NPI | 1982926911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2566) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010076) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2025-04-24 |