| NPI | 1639819337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 20805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19145) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-05-28 |