| NPI | 1477999498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-10235) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-10235) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-10235) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-10-15 |