| NPI | 1497294763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO NLC.0106316) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-19079) |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2025-07-21 |