| NPI | 1497312318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-16364) |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2020-03-03 |