| NPI | 1881202653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C8977) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2025-04-25 |