| NPI | 1649601584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18822) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 19999) |
| 101YP2500X Counselor, Professional (Licence: CO 0013555) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2025-03-26 |