| NPI | 1669803565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18348) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224645) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2025-11-11 |