| NPI | 1689203036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006091) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |