| NPI | 1801402268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-21710) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19077) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-06-19 |