| NPI | 1447304373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFT.0002397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMFT10249) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-08-28 |