| NPI | 1275869265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12212) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1163-LCPC) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |