| NPI | 1205344611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC-87055) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-16237) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-19191) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2021-10-28 |