| NPI | 1518082874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0012809) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC11840) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-09-20 |