| NPI | 1760204069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23440) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-12-03 |