| NPI | 1972860724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C4672) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LPC21233) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-08-23 |