| NPI | 1508369398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC4894) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LPC-10947) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |