| NPI | 1558713172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72724) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19307) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-10-28 |