| NPI | 1093028664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13465) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2014-09-29 |