| NPI | 1164923025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ CC-10210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CC-10210) |
| 101YP2500X Counselor, Professional (Licence: CC-10210) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |