| NPI | 1396957106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC2322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC10921) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-11-26 |