| NPI | 1386270296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18842) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011432) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |