| NPI | 1437616760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17881) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008297) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2025-03-21 |