| NPI | 1548987894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23722) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-21474) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2025-03-12 |