| NPI | 1417579913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 17153) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |