| NPI | 1558988774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-21431) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19073) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2023-05-26 |