| NPI | 1801938972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69324) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-0866) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-04-14 |