| NPI | 1760002471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC18890) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-01-06 |