| NPI | 1346625605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-14220) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-06-18 |