| NPI | 1356596290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-13284) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ 13284) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2016-11-27 |