| NPI | 1003122797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005983) |
| 101YP2500X Counselor, Professional (Licence: TX 70639) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-06-23 |