| NPI | 1689736563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63157) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC000920) |
| 101YP2500X Counselor, Professional (Licence: NC LPC5012) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-11-09 |