| NPI | 1316314958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19942) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-15722) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-06-18 |