| NPI | 1871247734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21892) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC16402) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2025-01-06 |