| NPI | 1750477428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC11918) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LPC-14722) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-11 |