| NPI | 1811424757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18165) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-15836) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-09-11 |