| NPI | 1386269678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ 21451) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LAC-18323) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-09-29 |