| NPI | 1255665147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15171) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2024-07-18 |