| NPI | 1295931400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC12829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC12009) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-08-10 |