| NPI | 1568919223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC03598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20662) |
| 101YP2500X Counselor, Professional (Licence: MN cc03965) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2026-04-15 |