| NPI | 1518002286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC17691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-17691) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-09-13 |