| NPI | 1033150628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC 3445) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPC 3338) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-12-01 |