| NPI | 1518670215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 283450) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2025-03-19 |