| NPI | 1780069666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-15759) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LAC-13548) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2021-01-26 |