| NPI | 1275702342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3446) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LPC-12876) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-11-19 |