| NPI | 1255747689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16953) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC14355) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2018-04-27 |