| NPI | 1417274101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP797) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-8101) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-04-13 |