| NPI | 1962144873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018200) |
| 101YS0200X Counselor, School (Licence: CO 314299) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-04-07 |