| NPI | 1073784179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-10899) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2021-03-10 |