| NPI | 1588057392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 1464) |
| 101YP2500X Counselor, Professional (Licence: MN 1106) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-08-02 |