| NPI | 1538727581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 23395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16129) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-06-13 |