| NPI | 1639812266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22615) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19182) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-01-09 |