| NPI | 1154715076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17039) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC 14549) |
| 101YM0800X Counselor, Mental Health (Licence: KS LCPC-03104) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2023-04-27 |