| NPI | 1376294033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LAC17593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20647) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-02-06 |