| NPI | 1578245098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21907) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-21907) |
| 101YP2500X Counselor, Professional (Licence: AZ LAC-21907) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |