| NPI | 1548283963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC13118) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 5089-T) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-03-08 |