| NPI | 1063736346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-2401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0900522) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2017-04-23 |