| NPI | 1699918862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-13677) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC-13677) |
| 101Y00000X Counselor (Licence: AZ LPC-13677) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2012-08-01 |