| NPI | 1265442628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 4016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-2216) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-13 |