| NPI | 1417161571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-0572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 0572) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-04-23 |