| NPI | 1407360787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC010893) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 67577) |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2023-12-28 |