| NPI | 1033208962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 15321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0088691) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-12-07 |