| NPI | 1538386487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC S6610) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E. 0008078) |
| 101YP2500X Counselor Professional (Licence: GA LPC004903) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-03-27 |