| NPI | 1275155095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CPC-CP1291-R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC-18678) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-19 |