| NPI | 1114454055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18003) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 3241) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-03-29 |