| NPI | 1366888232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20955) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0153861) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2024-10-10 |