| NPI | 1174269237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22152) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19651) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-12-26 |