| NPI | 1992035737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-2235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 53040) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |