| NPI | 1235578972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 16517) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005307) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-13607) | |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2018-07-25 |