| NPI | 1932614054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 18353) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-11-01 |