| NPI | 1114402831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18358) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75348) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-09-17 |