| NPI | 1801117924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3862) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18276) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-12-10 |