| NPI | 1942725643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17266) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC15805) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-07-18 |