| NPI | 1063835676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 11282) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0161511) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-07-21 |