| NPI | 1508500448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16212) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ 4030045) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |