| NPI | 1265841027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17078) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 13339) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-12-05 |