| NPI | 1891014486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14261) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-13006) |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2020-04-27 |