| NPI | 1548681729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-14389) |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2016-10-17 |