| NPI | 1851721898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC13443) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ 95320) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |