| NPI | 1447318282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2389) |
| 101YP2500X Counselor, Professional (Licence: NE 1316) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-09-15 |