| NPI | 1326379413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 7520408-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-5372) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2023-07-06 |