| NPI | 1316074164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 49) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-5313T) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-08-31 |