| NPI | 1649839689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22492) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-16189) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-11-13 |