| NPI | 1750798393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16635) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-14510) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-06-19 |