| NPI | 1457981003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19196) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LAC-17399) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-10-23 |