| NPI | 1831802693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-23307) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0019780) |
| 101YP2500X Counselor Professional (Licence: UT 12665008-6004) | |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2024-08-20 |