| NPI | 1205274842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP0169) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC14051) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-04-09 |