| NPI | 1881298420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21430) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-19039) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-07-19 |