| NPI | 1245447911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22169) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-11619) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-07-31 |