| NPI | 1578279105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 23387) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-20142) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-10-02 |