| NPI | 1548347321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 10664) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ LPC-10664) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-07 |