| NPI | 1013691930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22155) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-19798) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-10-09 |