| NPI | 1508470402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21456) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC18044) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2023-01-04 |