| NPI | 1528337128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006684) |
| 101YP2500X Counselor, Professional (Licence: CO LPC5674) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701006789) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2023-08-13 |