| NPI | 1164892485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15761) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2021-02-17 |