| NPI | 1811308679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018093) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-16260) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2026-04-17 |