| NPI | 1093369134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC17856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17856) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-03-31 |