| NPI | 1801291158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC 13852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2498) |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-5212) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |