| NPI | 1922624535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC-18745) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-01-25 |