| NPI | 1083978985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17976) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-15369) |
| 101YP2500X Counselor, Professional (Licence: MI 6401013111) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-06-23 |