| NPI | 1750018222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 20724) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 8275) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |