| NPI | 1174674287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC 3513) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL LMHC 5908) |
| 101YP2500X Counselor, Professional (Licence: TN LPC 1688) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |