| NPI | 1033214309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC10443) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC10187) |
| 101YM0800X Counselor Mental Health (Licence: AZ LPC10443) | |
| 101YP2500X Counselor Professional (Licence: AZ LPC-10443) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-01-19 |