| NPI | 1659916047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LAC-18373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-18373) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0018716) | |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2022-09-19 |