| NPI | 1255583456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-13082) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC-12688) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-03-10 |