| NPI | 1861092306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19540) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-17200) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-01-20 |