| NPI | 1366684607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 61008) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-07-21 |