| NPI | 1144233008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 4035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-11038) |
| 101YP2500X Counselor, Professional (Licence: AZ 11038) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-02-10 |