| NPI | 1700280609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 18871) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4694) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2023-10-08 |