| NPI | 1285225219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21965) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-14206) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-08-27 |