| NPI | 1346584992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC 15009) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 000671) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-02-19 |