| NPI | 1457364978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004458) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18226) |
| 101YP2500X Counselor, Professional (Licence: MI 6401013511) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-02-05 |