| NPI | 1467778621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13244) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2013-07-15 |