| NPI | 1295249449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011459) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73288) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-03-23 |