| NPI | 1780905026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9304) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18225) |
| 101YP2500X Counselor, Professional (Licence: PA PC000975) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-12-14 |