| NPI | 1770098311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 19698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.100336) |
| 101YP2500X Counselor, Professional (Licence: CO 0017742) | |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0220) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2026-04-16 |