| NPI | 1053951913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LAMFT-10664) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-18525) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |