| NPI | 1356829675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC22873) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC22873) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC13288) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-03-15 |