| NPI | 1790652626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 13125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-1735) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2026-01-26 |