| NPI | 1427529627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-16694) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-19466) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-01-09 |