| NPI | 1295744464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17882) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009321) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-12-27 |