| NPI | 1588957575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8498) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-16645) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2024-12-05 |