| NPI | 1245048982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LAC20385) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ EIN4766876) |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |