| NPI | 1982240040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20154) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 16976) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-11-17 |