| NPI | 1235375981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8032) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 13800) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2025-04-16 |