| NPI | 1003429937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LPC19276) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LAC-17108) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2023-05-01 |