| NPI | 1528448255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-14590) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2017-01-03 |