| NPI | 1396996328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13562) |
| 101YP2500X Counselor, Professional (Licence: CO 1771) | |
| 101YP2500X Counselor, Professional (Licence: MN LPC-00861) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2017-04-23 |