| NPI | 1396973830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18621) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA LMHC-4366) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-07-03 |