| NPI | 1013537091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-18724) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-01-03 |