| NPI | 1134801053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-22408) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-10-11 |