| NPI | 1114324977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC15991) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-14336) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2025-05-29 |