| NPI | 1548572308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-15305) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-13433) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2014-09-24 |