| NPI | 1003590035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-24498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.018154) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-08079T) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-04-28 |