| NPI | 1447599188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0018638) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-2543) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2024-05-02 |