| NPI | 1437626611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17513) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2022-04-25 |