| NPI | 1811121536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-5571T) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-4864) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2015-03-25 |