| NPI | 1558598342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0149361) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-21034) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2024-05-16 |