| NPI | 1609116334 |
|---|---|
| Former Name | ANNA AMELIA HEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 66531) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7668) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2023-03-29 |