| NPI | 1912638651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-20760) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: HI MHC-969-0) |
| 101YP2500X Counselor Professional (Licence: FL TPMC911) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-11-11 |