| NPI | 1275008054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC18062) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-06-08 |