| NPI | 1003979949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-12363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC12363) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-01-22 |