| NPI | 1386871002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12501) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2009-06-20 |