| NPI | 1972847275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 19882) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011348) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2025-08-18 |