| NPI | 1982972725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC006485) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006485) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2026-01-23 |