| NPI | 1750615712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17624) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-12718) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-08-03 |