| NPI | 1609147222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LISAC-11415) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-13058) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2021-10-28 |