| NPI | 1164971776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0184001) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-02-02 |