| NPI | 1053534834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 13545) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003112) |
| 101YP2500X Counselor, Professional (Licence: NM 0125261) | |
| 101YP2500X Counselor, Professional (Licence: WA LH 60421233) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-01-06 |