| NPI | 1386183135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-7532) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-01-30 |