| NPI | 1568600401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64374) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2023-09-08 |