| NPI | 1801373279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 15326) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-15326) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-12-02 |