| NPI | 1285389437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 22120) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93033) |
| 101YP2500X Counselor, Professional (Licence: AZ LAC-20012) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-04-17 |