| NPI | 1396489027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-21625) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19217) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-01-13 |