| NPI | 1285504373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19854) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 46.004391) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |