| NPI | 1750579322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12103) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC12103) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-10-15 |