| NPI | 1093894610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1253-R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 11118) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-08-18 |