| NPI | 1780929422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010444) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73381) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2022-10-12 |