| NPI | 1467763060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC15323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY LMHC001757) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00365400) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-07-13 |