| NPI | 1144387465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1412116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 917 LPC) |
| 101YP2500X Counselor, Professional (Licence: TX 72918) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-04-30 |