| NPI | 1902445521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16916) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-12-10 |