| NPI | 1700247905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA LPCC 2647) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC 15499) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LPCC 2647) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC 15499) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2024-01-10 |