| NPI | 1093946790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19992) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2023-06-22 |