| NPI | 1225642267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 16885) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19200) | |
| 101YP2500X Counselor, Professional (Licence: AZ 16885) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |