| NPI | 1124206610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC14193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC13423) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-09-07 |