| NPI | 1083231856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC-19292) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LAC-17146) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-09-25 |