| NPI | 1427343292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64376) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2019-01-05 |