| NPI | 1588295679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022245) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18708) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-09-05 |