| NPI | 1063156578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC20605) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC23877) |
| 101YP2500X Counselor, Professional (Licence: MN 2492) | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2025-04-29 |