| NPI | 1013268648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003325) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00427800) | |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2020-11-02 |