| NPI | 1639831175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C10130) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2025-07-31 |