| NPI | 1598194672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.00015748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-16207) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2024-08-27 |