| NPI | 1215687967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC23759) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-20763) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-05-20 |