| NPI | 1184057101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-13745) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13745) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-07-06 |