| NPI | 1174025878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70626) |
| 101YP2500X Counselor, Professional (Licence: AZ 16516) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-07-31 |