| NPI | 1730826231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22718) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19853) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-02-06 |