| NPI | 1841950250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 23051) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-7007T) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2024-12-27 |