| NPI | 1922499177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73377) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007510) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |