| NPI | 1295350080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC-008818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-17952) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |