| NPI | 1518538982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20468) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0018535) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-08-23 |