| NPI | 1255922191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 6725T) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-22512) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-12-09 |