| NPI | 1558729327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-2371) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-04-28 |