| NPI | 1912645342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0020372) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-22725) |
| 101Y00000X Counselor (Licence: AZ LAC-20024) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-07-31 |