| NPI | 1235623109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17332) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-07-15 |