| NPI | 1144896010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95903) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011798) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-10-23 |