| NPI | 1588804025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC91180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005982) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC19229) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2024-06-25 |