| NPI | 1558686824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-0908) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 857-LCPC) |
| 101YP2500X Counselor, Professional (Licence: TX 005820) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |