| NPI | 1528508272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC19535) |
| Additional Taxonomies | 171W00000X Contractor (Licence: AZ LAC - 15768) |
| 101Y00000X Counselor (Licence: AZ LPC-19535) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2021-04-19 |