| NPI | 1063854925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 2385) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC16647) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2023-04-28 |