| NPI | 1265928030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21335) |
| 101YM0800X Counselor, Mental Health (Licence: AL 4223) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-05-25 |