| NPI | 1740942846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 20347) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 17834) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-03-02 |